Organization Active NPI

Davis Counseling Associates

  • Mental Health Counselor
  • Cambridge, MA
National Provider Identifier
1194277178
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1509 Issued in MA
Legal business name
DAVIS COUNSELING ASSOCIATES
Practice address
12 Arrow St
G 102
Cambridge, MA 02138-5105
Phone
(617) 733-7888
Fax
(866) 377-7057
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Davis, LMHCNPI 1558538439
Title
Owner
Phone
(617) 733-7888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1509 MA Primary

Addresses

Primary practice location

12 Arrow St
G 102
Cambridge, MA 02138-5105

Mailing address

12 Garner St
Newton, MA 02459-1610
Phone (617) 733-7888

Other names 1

  • Susan Davis MA LMHC Doing business as

National Provider Directory

National Provider Directory

Locations

12 Arrow St
Ste 102
Cambridge, MA 02138
Phone (617) 733-7888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1194277178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GARNER ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024591610",
            "telephone_number": "617-733-7888",
            "fax_number": "866-377-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ARROW ST",
            "address_2": "G 102",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385105",
            "telephone_number": "617-733-7888",
            "fax_number": "866-377-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-733-7888",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Davis MA LMHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.